NEHW REGISTRATION
Hawk Migration Conference - March 18,2006
Holyoke Community College, Holyoke, MA
Please print out and complete this form, and mail to John Weeks
with your check. We cannot accept registration by email.
Please print.
Name ___________________________________________
Affiliation ____________________________________________
Address ______________________________________________
City _________________________________________________
State _________________________ Zip ____________________
Phone ________________________________________________
email ______________________________________________
Please complete:
Registration Fee:
Number attending ______ @
$32.00 each (member) = ____________
@ $38.00 each (non-member) = __________
(Registration includes refreshment breaks.)
Optional Lunch: Sandwich Platter Buffet
Number of meat lunches ______ @ $10 each = ____________
Number of vegetarian lunches ______
@ $10 each = ____________
NEHW Membership: _____ years @ $10/ year ____________
TOTAL
____________
Make checks payable to NEHW and mail to John Weeks, 51 Pheasant Run ,
North Granby, CT 06060.
860-844-8965
Include a SASE if you would like a confirmation letter.
Please make your own hotel reservations.